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Research Article

A qualitative community health assessment of HIV prevention awareness in a semi-rural Latinx seasonal farm working community in South Florida

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Received 27 Jan 2023, Accepted 14 Dec 2023, Published online: 29 Dec 2023
 

Abstract

This article explores HIV awareness and prevention in a Latinx seasonal farmworker community of south Miami-Dade County in the USA. The study took place as part of a larger community assessment that aimed to determine community needs and resources related to substance abuse, violence and HIV in the Latinx seasonal farmworker communities of south Miami-Dade County, with a particular focus on fathers’ and their male sons’ relationships. The study collected data on HIV knowledge and prevention, healthcare-seeking behaviours, cultural norms, and communication barriers about HIV prevention between fathers and sons. Data were collected through in-depth interviews with community leaders, two focus groups with social and health services providers, and four focus groups involving fathers and their adolescent sons. A deductive approach to data analysis was undertaken. Five major themes were identified: (1) HIVrelated knowledge and perception; (2) HIV prevention strategies; (3) barriers and needs for tailored preventive health and care services in the community; (4) stress over sex-related communication; and (5) the dominance of traditional masculine gender norms in the household and the community.

Acknowledgments

The authors are grateful to community service providers, leaders, and farmworker families in the rural southern communities of Miami-Dade County who shared their experiences with us along with their hope for better health in their communities. They also acknowledge the support provided by the following organisations for this study: Coalition of Florida Farmworker Organisation, Inc. (COFFO), Everglades Community Association (ECA), Redlands Christians Migrant Association (RCMA), Homestead Housing Authority, Homestead Miami Dade College, Community Health of South Florida, Inc. (CHI), We Count, South Dade Care Coalition (SDCC), South Dade One Voice Community Coalition and Migrant Service Providers.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Notes

1 A migrant farmworker is “a person who reported jobs that were at least 75 miles apart or reported moving more than 75 miles to obtain a farm job during a 12-month period (Hernandez and Gabbard Citation2018, 5).

2 Seasonal farmworkers are employed temporarily but do not move from their permanent residence to perform farm work (Migrant Clinician Network, Citation2023).

3 The H-2A is a US temporary agriculture workers programme that allows US employers to recruit migrant workers to undertake temporary agricultural work in the USA (US Citizenship and Immigration Service Citation2016).

4 Most of the participants’ quotations were translated from Spanish to English.

5 Graphical visualisation as charts, diagram, or illustration that uses graphic elements to present information in a visually striking way (Merriam-Webster.com Dictionary Citation2023).

6 Florida Senate Bill 1718 is a new immigration law aimed to impact the livelihood of undocumented immigrants/workers by, (1) penalising employers (e.g., revocation of operation permits); (2) requiring some hospitals to collect patient immigration status; (3) banning the transportation of undocumented immigrants into the state; (4) prohibiting local governments in the state from using funds to issue identification documents to undocumented immigrants; (5) invalidating the drivers licenses and permits issued to undocumented immigrants in other states in USA.

Additional information

Funding

This work was supported by the US National Institute on Minority Health and Health Disparity (NIMHD) under Grant [5U54MD002266-6887]. Additionally, the time invested in the analysis and writing of the article was supported in part by the US National Institute on Drug Abuse (NIDA) under K99-R00 award [1K99DA053158-01-R00DA053158]. The content is solely the responsibility of the authors and does not represent the official views of either funding source.

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